@layout("/common/_form.html",{js:["/assets/modular/system/btyXdgt/btyXdgt_edit.js"]}){
<form class="layui-form" id="noticeForm" lay-filter="noticeForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">店名</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">店名</label>
                        <div class="layui-input-block">
                            <select name="dm" lay-filter="language" id="dm" lay-search="" lay-verify="required" required>
                                <option value=''>全部</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">餐厅编号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="ctbh" placeholder="请输入餐厅编号" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                </div>
            </div>
            <div class="layui-card-header">上次巡店机会点改进状况</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <!--                    <div class="layui-inline layui-col-md12">-->
                    <!--                        <label class="layui-form-label">店名</label>-->
                    <!--                        <div class="layui-input-block">-->
                    <!--                            <input  id="dms"  readonly type="text" class="layui-input"/>-->
                    <!--                        </div>-->
                    <!--                    </div>-->
                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">问题1</label>
                        <div class="layui-input-block">
                            <input name="lastQuestion"  id="question"  placeholder="请输入问题1"  type="text" class="layui-input"/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">改进目标</label>
                        <div class="layui-input-block">
                            <input name="lastGjmb" id="gjmb" placeholder="请输入改进目标"  type="text" class="layui-input" />
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md4" pane="">
                        <div class="layui-input-block">是否达成目标</div>
                        <div class="layui-input-block">
                            <input type="radio" name="questionIsReach" value="是" title="是" lay-filter="questionIsReach" >
                            <input type="radio" name="questionIsReach" value="否" title="否" lay-filter="questionIsReach">
                        </div>
                    </div>
                    <!--                    <div class="layui-inline layui-col-md6" pane="" id="auto">-->
                    <!--                        <div class="layui-input-block">未达成原因</div>-->
                    <!--                        <div class="layui-input-block">-->
                    <!--                            <select name="questionReason" lay-filter="questionReason" id="questionReason" lay-search="" >-->
                    <!--                                <option value=''>请选择</option>-->
                    <!--                                <option  value="未到行动计划达成时间">未到行动计划达成时间</option>-->
                    <!--                                <option  value="行动计划未执行">行动计划未执行</option>-->
                    <!--                                <option  value="出现其它原因导致">出现其它原因导致</option>-->
                    <!--                            </select>-->
                    <!--                        </div>-->
                    <!--                    </div>-->

                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">问题2</label>
                        <div class="layui-input-block">
                            <input name="lastQuestionOne" id="questionOne" placeholder="请输入问题2" type="text"  class="layui-input" />
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">改进目标</label>
                        <div class="layui-input-block">
                            <input name="lastGjmbOne"  id="gjmbOne" placeholder="请输入改进目标" type="text"  class="layui-input" />
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md4" pane="">
                        <div class="layui-input-block">是否达成目标</div>
                        <div class="layui-input-block">
                            <input type="radio" name="questionOneIsReach" value="是" title="是" lay-filter="questionOneIsReach">
                            <input type="radio" name="questionOneIsReach" value="否" title="否" lay-filter="questionOneIsReach">
                        </div>
                    </div>
                    <!--                    <div class="layui-inline layui-col-md6" pane="" id="autoOne">-->
                    <!--                        <div class="layui-input-block">未达成原因</div>-->
                    <!--                        <div class="layui-input-block">-->
                    <!--                            <select name="questionOneReason" lay-filter="questionOneReason" id="questionOneReason">-->
                    <!--                                <option value=''>请选择</option>-->
                    <!--                                <option  value="未到行动计划达成时间">未到行动计划达成时间</option>-->
                    <!--                                <option  value="行动计划未执行">行动计划未执行</option>-->
                    <!--                                <option  value="出现其它原因导致">出现其它原因导致</option>-->
                    <!--                            </select>-->
                    <!--                        </div>-->
                    <!--                    </div>-->

                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">问题3</label>
                        <div class="layui-input-block">
                            <input name="lastQuestionTwo" id="questionTwo" placeholder="请输入问题3" type="text"  class="layui-input" />
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">改进目标</label>
                        <div class="layui-input-block">
                            <input name="lastGjmbTwo" id="gjmbTwo" placeholder="请输入改进目标" type="text"  class="layui-input" />
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md4" pane="">
                        <div class="layui-input-block">是否达成目标</div>
                        <div class="layui-input-block">
                            <input type="radio" name="questionTwoIsReach" value="是" title="是" lay-filter="questionTwoIsReach">
                            <input type="radio" name="questionTwoIsReach" value="否" title="否" lay-filter="questionTwoIsReach">
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">问题4</label>
                        <div class="layui-input-block">
                            <input name="lastQuestionThree"  id="questionThree" placeholder="请输入问题4" type="text"  class="layui-input" />
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md4">
                        <label class="layui-form-label">改进目标</label>
                        <div class="layui-input-block">
                            <input name="lastGjmbThree" id="gjmbThree" placeholder="请输入改进目标" type="text"  class="layui-input" />
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md4" pane="">
                        <div class="layui-input-block">是否达成目标</div>
                        <div class="layui-input-block">
                            <input type="radio" name="questionThreeIsReach" value="是" title="是" lay-filter="questionThreeIsReach">
                            <input type="radio" name="questionThreeIsReach" value="否" title="否" lay-filter="questionThreeIsReach">
                        </div>
                    </div>
                    <!--                    <div class="layui-inline layui-col-md6" pane="" id="autoTwo">-->
                    <!--                        <div class="layui-input-block">未达成原因</div>-->
                    <!--                        <div class="layui-input-block">-->
                    <!--                            <select name="questionTwoReason" lay-filter="questionTwoReason" id="questionTwoReason" lay-search="" >-->
                    <!--                                <option value=''>请选择</option>-->
                    <!--                                <option  value="未到行动计划达成时间">未到行动计划达成时间</option>-->
                    <!--                                <option  value="行动计划未执行">行动计划未执行</option>-->
                    <!--                                <option  value="出现其它原因导致">出现其它原因导致</option>-->
                    <!--                            </select>-->
                    <!--                        </div>-->
                    <!--                    </div>-->
                </div>
            </div>
            <div class="layui-card-header">本次巡店沟通</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" id="id" value="${id}" type="hidden"/>
                    <input name="sumXd"  id="sumXd" type="hidden"/>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">问题1<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="question" placeholder="请输入问题1" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">根源<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="gy" name="gy" placeholder="请输入根源" type="text" class="layui-input" autocomplete="off" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">改进目标<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="gjmb" placeholder="请输入改进目标" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">行动计划<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="xdjh" placeholder="请输入行动计划" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">责任人<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="zrr" placeholder="请输入责任人" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">达成时间<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="dcsj" placeholder="请输入达成时间" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">问题2<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="questionOne" placeholder="请输入问题2" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">根源<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input  name="gyOne" placeholder="请输入根源" type="text" class="layui-input" autocomplete="off" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">改进目标<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="gjmbOne" placeholder="请输入改进目标" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">行动计划<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="xdjhOne" placeholder="请输入行动计划" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">责任人<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="zrrOne" placeholder="请输入责任人" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">达成时间<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="dcsjOne" placeholder="请输入达成时间" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">问题3<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="questionTwo" placeholder="请输入问题3" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">根源<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input  name="gyTwo" placeholder="请输入根源" type="text" class="layui-input" autocomplete="off" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">改进目标<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="gjmbTwo" placeholder="请输入改进目标" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">行动计划<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="xdjhTwo" placeholder="请输入行动计划" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">责任人<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="zrrTwo" placeholder="请输入责任人" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">达成时间<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="dcsjTwo" placeholder="请输入达成时间" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">问题4</label>
                        <div class="layui-input-block">
                            <input name="questionThree" placeholder="请输入问题4" type="text" class="layui-input" />
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">根源<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input  name="gyThree" placeholder="请输入根源" type="text" class="layui-input" autocomplete="off" />
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">改进目标<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="gjmbThree" placeholder="请输入改进目标" type="text" class="layui-input" />
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">行动计划<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="xdjhThree" placeholder="请输入行动计划" type="text" class="layui-input" />
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">责任人<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="zrrThree" placeholder="请输入责任人" type="text" class="layui-input" />
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md6">
                        <label class="layui-form-label">达成时间<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="dcsjThree" placeholder="请输入达成时间" type="text" class="layui-input" />
                        </div>
                    </div>
                </div>
            </div>

        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>
</form>

@}
